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133 N. Riverfront Blvd. Dallas, TX 75207 (214) 952-4152 phone (214) 653-5990 fax Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval of Minutes 3. Caruth Smart Justice Grant Update Mike Laughlin 4. SAMHSA Update* Laura Edmonds 5. 530 Sub Committee* Laura Edmonds 6. BHLT & CSP Update Charlene Randolph 7. Jail Reports Hospital Movement Abdul Mohamed Pregnant Patients Shenna Oriabure Veterans Reports Shenna Oriabure Homeless Report Shenna Oriabure Northstar Matches Mike Laughlin 8. Public Defenders Report Lynn Richardson 9. District Attorney’s Report Lee Pierson 10. Provider Reports The Bridge Kelly Kane Metrocare Crystal Garland IPS Reports Enrique Morris 11. Problem Solving Courts Outpatient Competency Abdul Mohamed DIVERT Keta Dickerson 12. Specialty Courts CSCD Serena McNair 13. Announcements 14. Adjourn *Action and Discussion Items DALLAS COUNTY Criminal Justice Department Page 1 of 47

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Page 1: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

133 N. Riverfront Blvd. Dallas, TX 75207 (214) 952-4152 phone (214) 653-5990 fax

Behavioral Health Steering Committee

Thursday, September 15, 2016

Agenda

1. Welcome and Call to Order

2. Review/Approval of Minutes

3. Caruth Smart Justice Grant Update Mike Laughlin

4. SAMHSA Update* Laura Edmonds

5. 530 Sub Committee* Laura Edmonds

6. BHLT & CSP Update Charlene Randolph

7. Jail Reports • Hospital Movement Abdul Mohamed

• Pregnant Patients Shenna Oriabure

• Veterans Reports Shenna Oriabure

• Homeless Report Shenna Oriabure

• Northstar Matches Mike Laughlin

8. Public Defenders Report Lynn Richardson

9. District Attorney’s Report Lee Pierson

10. Provider Reports

• The Bridge Kelly Kane

• Metrocare Crystal Garland • IPS Reports Enrique Morris

11. Problem Solving Courts • Outpatient Competency Abdul Mohamed

• DIVERT Keta Dickerson

12. Specialty Courts CSCD Serena McNair

13. Announcements

14. Adjourn

*Action and Discussion Items

DALLAS COUNTY Criminal Justice Department

Page 1 of 47

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1

Minutes of the Behavioral Health Steering Committee (BHSC) Meeting

Thursday, August 18. 2016

Call to order and Introductions

The meeting was called to order by Judge Wade at 8:35 am. Attendee’s names are available on the meeting sign-in

sheet.

Minutes review and approval

The minutes from the last BHSC meeting of July 21, 2016 were reviewed. No discussion or corrections. A motion was

made by Ron Stretcher, and seconded by Harry Ingram for them to be accepted as read. Motion passed and minutes

approved without objection.

Data and reports for BHSC – Judge Wade

Caruth Grant: Mike Laughlin presented a Caruth Smart Justice Grant update, as well as a 2-page summary report. The 6

year, $7 million Implementation Grant proposal was submitted by MMHPI to the Caruth Foundation in July, with an

award decision expected by the end of September.

Program Updates: The program and outcome data, updates, and reports were presented and accepted by relevant

dept./agency staff for the SAMHSA Grant, 530 Subcommittee, BHLT/CSP, Public Defenders, District Attorneys, Jail

reports, Provider’s reports (The Bridge, Metrocare, and IPS), as well as Problem Solving and Specialty Courts (see

packet).

Laura Edmonds presented a summary of current 530 Subcommittee expenses, and the proposed 2017 budget (see

packet insert). A request was made for approval of the new proposed 2017 budget. A motion to approve the proposed

budget was made by Angie Byrd, and seconded by Alyssa Aldrich. Motion was unanimously approved.

Additionally, 530 subcommittee approved the new process and expenditures Laura Edmonds set up for drug testing and

certification for some of the synthetic drugs. Those interested need to work through Laura per Judge Wade for referrals

and funding.

Ron Stretcher also explained the recent review and decision not to direct the $500 in 530 funds to the upcoming CSCD

Foundation raffle due to the funding restrictions, and the nature of the Foundation activity. Everyone understood.

CSP metrics provided by Alyssa, and on track year-to-date for outcomes. Ron advised that there have been recent

discussions about NTBHA having enough bridge/transition funding to make it through the Northstar conversion and

beyond. He explained that they recently briefed Sen. West on this matter asking for legislative support that the $7

million bridge funding DSHS is committing to temporarily, be pursued as a long term/permanent funding strategy. This

will hopefully be addressed during 2017 legislative session, with status updates provided as available.

Jail, Pregnancy, and Homeless reports were presented by Adbul Mohamed and Shenna Oraibure. Discussion held on

the progress of 2 recent MHJD pregnant clients who successfully delivered. One more is entering in the next month. It

was brought up that CJ Dept. has been approached by Madeline McClure with TexProtects, who is working with United

Way and the Project Hopes grant that works to serve women with at-risk pregnancies. It was suggested that we look to

connect this grant project with MHJD clients and others.

All other department and agency data reports and program updates were accepted as read, and can be reviewed in

the mtg. packet.

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2

DA provided data updates, and advised of several staff changes including John Carlough leaving the MH Unit.

Kelly Lane at The Bridge advised that current census is pretty full in the emergency shelter at 66. She also advised that

they have developed arrangements in the past month for on-site SUD services. Additionally, they have new

arrangement with Dallas EMS who is now working on-site M-F/8-5.

IPS: Enrique presented their data in an addendum, and introduced new office manager/Shawna Shaughnessy. PD asked

about aftercare package, and Enrique explained how it is designed, purpose, and access process. Ron explained how it’s

funded via 1115 Waiver funds, but candidates have to be enrolled in a specialty court. Judge Wade took a moment to

recognize and thank IPS for recent FREE assistance in providing SUD assessments of MHJD Court candidates for possible

residential treatment service needs.

Enrique discussed new Med. Director arrangement, and plans for Dr. Noss. Part of that plan includes Medication

Assisted Treatment. Lengthy discussion on MAT RFP process and restrictions via NTBHA into new year. Explained

NIDA/NIH guidelines/requirements that are being worked through with DSHS over the coming months. Lynn Richardson

asked about qualification for participation, and Ron explained it is based on Northstar qualification, but will have

provider restrictions. Dr. Love explained MAT options vary depending on which specialty court they are in. Keta

explained that services have to be coming from an outside provider for reimbursement vs internal ATRS provider. Judge

Wade advised that Laura had recently done some MAT research. Laura explained that Suboxone can be VO authorized,

but to qualify it has to start with detox auth./treatment. To use SOLIS you have to go through their IOP, and then get

auth. which has a limited time-frame. Much more info. and options for MAT coming in 2017. Keta reminded that she

continues to work with the Governor’s Office regarding MAT development, and the systems/providers will have a 2 year

period to get into compliance to keep funding. Enrique saw it as opportunity for improvement in that these

tensions/differences are setting the stage for Courts/service providers to work out the details and finally get the

resources/processes to set up and provide services. Judge Wade advised that Commissioner Daniel will be getting some

MAT info at CA conf., and she is looking into ways to get MAT going in Dallas.

Big kudos also went out to Keta Dickerson in her recent hard work helping to get 2 very low functioning clients through

the DIVERT Program.

Announcements

Judge Wade asked for announcements from the departments/agencies.

Rep. from APAA made announcement with flyers about upcoming Big Texas Rally for Recovery on Oct. 2nd, noon-6pm

on Ronald Kirk Pedestrian Bridge. Many partners and supporters making it possible per flyer, and speakers include

Michael Botticelli from the Whitehouse, live music, food trucks, etc. Everyone encouraged to attend and spread the

word.

Keta updated everyone on the City Tickets Workgroup led by City Mun. Judge Rosales that had its inaugural meeting at

the UNT Law Center downtown joined by several City Court staff along with many of our County CJ, PD, Specialty Courts

and DA staff. Primary goal is to set up special dockets, create an eligibility process, ID system, City Judge AIS access, and

create incentives to wipe out tickets and Class C offenses in order to improve County Specialty Court outcomes. Next

mtg. not yet announced.

Adjournment: The meeting was adjourned at 915 am. The next meeting will be held on Thursday, Sept. 15th at 8:30 am.

Page 3 of 47

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Caruth Smart Justice Planning Grant 1

     

Meadows Mental Health Policy Institute

Community  Stakeholder  Project  Status  Update  –  September  2016      The  Caruth  Smart  Justice  Planning  Grant  Phase  II  Proposal  has  been  submitted  to  the  W.W.  Caruth,  Jr.  Foundation  at  the  Communities  Foundation  of  Texas  as  of  July  15,  2016.  The  board  presentation  has  been  scheduled  for  September  27,  2016.    Should  funding  be  awarded,  MMHPI  and  partners  will  begin  implementation  in  January  2017  to  align  with  and  support  the  NTBHA  transition.  We  continue  to  engage  local  and  state  philanthropists  and  other  agencies  to  seek  funding  matches  to  help  support  the  Caruth  Smart  Justice  implementation  efforts  including  the  Arnold  Foundation.  Additionally,  we  continue  to  seek  the  support  and  buy-­‐in  of  local  private  hospital  providers  to  help  bridge  the  gap  between  the  public  behavioral  health  and  justice  communities  and  the  private  health  care  system.      Intercept 1 (Law Enforcement)

In  August,  MMHPI  staff  continue  to  provide  technical  assistance  for  stakeholders  with  Dallas  Fire  and  Rescue  and  Dallas  Police  Department  as  the  departments  coordinate  efforts  to  identify  programming  and  logistics  needs.      Intercept 2 (Initial Detention/Initial Court Hearings)/ Intercept 3 (Jails/Courts) / Intercept 4 (Re-Entry)

Dallas  County  Criminal  Justice  Department  reconvened  their  individual  work  groups  this  month  focused  around  screening,  assessment,  mental  health  personal  recognizance  (PR)  bond,  and  pre-­‐trial  supervision  needs.  MMHPI  continues  to  provide  support  and  technical  assistance  to  these  Smart  Justice  workgroups.        Intercept 5 (Community Corrections and Services)

MMHPI  staff  began  drafting  a  comprehensive  work  plan  for  Intercept  5  based  on  stakeholder  input.  Work  groups  are  anticipated  to  reconvene  in  September.    

     

Page 4 of 47

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530 Sub Committee

Minutes from August 10, 2016

Page 1 of 2

Behavioral Health Steering Committee

530 Fund Sub-Committee

Attendees

Laura Edmonds (chair), Shenna Oriabure, Gail Dawson, Keta Dickerson, Serena McNair, Ruth Kaiser,

Leah Gamble.

Minutes for August 10, 2016

Laura Edmonds called the meeting to order at 9:38am and asked for a motion to approve the minutes. Keta Dickerson advised of a correction: The name of the training group is Court Innovation not Court Initiative (last paragraph, page 2). Leah Gamble made a motion to approve the minutes with the noted correction. Ruth Kaiser seconded the motion and the minutes were accepted by the group.

530 Fund Balance An update of the 530 Fund Balance was provided. Currently the balance for the Felony account (4020) is $77,306.59; the Misdemeanor account (4031) is $75, 141.97 for a total of $152, 448.56. Laura Edmonds noted $8,157.48 is the total expensed for TADCP training. $670.52 in TADCP reimbursements is still pending and requires re-briefing at Commissioners’ Court. Additional money was expensed for the Mental Health Court Coordinator’s salary due to the extra pay period in July. Laura presented a 530 Fund Monthly Expenses report for the period of October 2015-July 2016.

Request for Funding Laura Edmonds advised of an informal request for residential treatment from Dr. Johannson-Love on behalf of the Veterans Court. The request is for residential treatment of one person at the Salvation Army. Concern was expressed about the lack of information available for the request such as the daily rate for treatment. Keta Dickerson questioned why a formal written request was not submitted. Keta recommended Veterans Court submit the formal written request by Friday, August 12, 2016 5:00pm, and then the subcommittee can take a vote by email. Laura will pursue the course of action recommended by Keta. Laura stated 33 Dallas County employees have been registered for the upcoming training on the opiate epidemic in Hurst, Texas.

Update on Drug Testing Line Item Laura Edmonds advised a purchase order has been issued for drug testing. Laura advised she is formalizing the policy and procedures related to drug testing. Once formalized the procedure will be broadcasted to all certified specialty courts.

Page 5 of 47

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530 Sub Committee

Minutes from August 10, 2016

Page 2 of 2

FY 2017 Budget Laura Edmonds presented the proposed budget for fiscal year 2017. Laura suggested limiting the operating budget to around $155,000. The separate line items of Transportation (CJD) and (CSCD) were combined into a single line item of “Transportation.” There were decreases in budget allotment for Office Supplies and Transportation. There was an increase in the allotment for training. Below is the agreed upon budget: Salary: $68,758 Training: $17,000 Incentives: $10,000 Incentives (DDA/Skemp): $5,000 Inpatient Treatment (Pre-Adjudication): $13,000 Inpatient Treatment (CSCD): $20,000 Office Supplies: $500 Transportation: $10,000 Drug Testing: $10,000 Operating Total: $154,258 Keta Dickerson suggested the fund be utilized to purchase graduation certificate using the office supplies line item. Shenna Oriabure asked Keta about the approximate cost of hosting an in-house training. Keta advised the largest expense was for the training location and meals provided. Keta advised the training will be inexpensive if meals are not provided and a free location is obtained. Keta is continuing to research in-house training possibilities. A key factor in the training would be a location that can hold approximately 100 people and has access to at least 16 rooms for breakout sessions. Serena McNair suggested the group scout mega churches as potential locations. Leah Gamble will look into site options.

Announcements Serena McNair requested the 530 Fund provide a donation for the specialty courts’ golf tournament raffle. The golf tournament is scheduled for September 30, 2016. The money raised by the golf tournament goes to a foundation that supports specialty courts. The group agreed to use money from incentives to purchase a $500 Visa gift card for the raffle. The request will be submitted for official approval at the next BHSC. Keta Dickerson reminded the group about Rally for Recovery taking place on October 2, 2016 at the Ron Kirk Pedestrian Bridge. Keta encouraged all to volunteer and support the rally. An announcement will be made at BHSC regarding the rally.

Adjourn Serena McNair moved to adjourn the meeting. Motion was seconded by Leah Gamble. The

meeting was adjourned at 10:16am and will reconvene on 9/14/16 @9:30am.

Page 6 of 47

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Last Refresh: 8/31/16 at 11:26:02 AM GMT-05:00CSP Monthly Report DY5_No GraphsCSP TotalCrisis

ProjectServices

Total Encounters by Type: 2015-10 2015-11 2015-12 2016-01 2016-02 2016-03 2016-04 2016-05 2016-06 2016-07 Average: Sum:

Triage 829 780 750 725 745 743 729 768 691 707 746.7 7,467

Care Coordination 3,140 2,973 3,669 3,872 3,524 3,728 3,329 3,589 3,030 2,962 3,381.6 33,816

F2F Encounter 284 267 330 299 284 290 260 291 234 254 279.3 2,793

Sum: 4,253 4,020 4,749 4,896 4,553 4,761 4,318 4,648 3,955 3,923 4,407.6 44,076

Total Unique Consumers: 461 810 728 661 613 589 552 503 508 454 460 587.8 5,878

% Change to DY 4175.70% 157.92% 143.38% 132.97% 127.77% 119.74% 109.11% 110.20% 98.48% 99.78%

PastYearAvg 2015-10 2015-11 2015-12 2016-01 2016-02 2016-03 2016-04 2016-05 2016-06 2016-07 Average: Sum:

Total Service Episodes: 631 829 780 750 725 745 743 729 768 691 707 746.7 7,467

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CSP Monthly Report DY5_No GraphsFrank Crowley

Last Refresh: 8/31/16 at 11:26:02 AM GMT-05:00

CrisisServicesProject

2015-10 2015-11 2015-12 2016-01 2016-02 2016-03 2016-04 2016-05 2016-06 2016-07 Average: Sum:

Service Episodes: 829 780 750 725 745 743 729 768 691 707 746.7 7,467

Unique Consumers: 2015-10 2015-11 2015-12 2016-01 2016-02 2016-03 2016-04 2016-05 2016-06 2016-07 Average: Sum:

By N* ID 766 667 595 560 556 500 462 481 412 378 537.7 5,377

By Client ID 44 61 66 53 33 52 41 27 42 82 50.1 501

TOTAL Unique Consumers: 810 728 661 613 589 552 503 508 454 460 587.8 5,878

TOTAL Unique Consumers as %:97.71% 93.33% 88.13% 84.55% 79.06% 74.29% 69.00% 66.15% 65.70% 65.06%

Unique F2F: 2015-10 2015-11 2015-12 2016-01 2016-02 2016-03 2016-04 2016-05 2016-06 2016-07 Average: Sum:

By N* ID 236 202 202 196 177 170 162 185 145 147 182.2 1,822

By Client ID 16 14 23 16 10 20 18 19 21 27 18.4 184

TOTAL Unique F2F: 252 216 225 212 187 190 180 204 166 174 182.36 2,006

TOTAL Unique F2F as %: 88.73% 80.90% 68.18% 70.90% 65.85% 65.52% 69.23% 70.10% 70.94% 68.50%

2015-10 2015-11 2015-12 2016-01 2016-02 2016-03 2016-04 2016-05 2016-06 2016-07 Average: Sum:

F2F Percentages: 34.26% 34.23% 44.00% 41.24% 38.12% 39.03% 35.67% 37.89% 33.86% 35.93% 37.42% 374.23%

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CSP Monthly Report DY5_No GraphsFrank Crowley

Last Refresh: 8/31/16 at 11:26:02 AM GMT-05:00

CrisisServicesProject

Encounters by Type: 2015-10 2015-11 2015-12 2016-01 2016-02 2016-03 2016-04 2016-05 2016-06 2016-07 Average: Sum:

Triage 829 780 750 725 745 743 729 768 691 707 746.7 7,467

Care Coordination 3,140 2,973 3,669 3,872 3,524 3,728 3,329 3,589 3,030 2,962 3,381.6 33,816

F2F Encounter 284 267 330 299 284 290 260 291 234 254 279.3 2,793

TOTAL Encounters: 4,253 4,020 4,749 4,896 4,553 4,761 4,318 4,648 3,955 3,923 4,407.6 44,076

Female: 2015-10 2015-11 2015-12 2016-01 2016-02 2016-03 2016-04 2016-05 2016-06 2016-07 Average: Sum:

Black 121 119 96 90 95 89 78 73 83 67 91.1 911

Hispanic 38 34 18 24 28 20 19 17 24 23 24.5 245

Other 1 1 1 1 1 2 1.17 7

Unknown 2 1 5 2 3 2 2.5 15

White 84 65 65 62 44 53 51 41 44 52 56.1 561

TOTAL Female: 246 220 184 177 170 165 151 133 151 142 173.9 1,739

Male: 2015-10 2015-11 2015-12 2016-01 2016-02 2016-03 2016-04 2016-05 2016-06 2016-07 Average: Sum:

Black 345 278 310 260 257 225 196 209 177 160 241.7 2,417

Hispanic 75 79 52 50 50 54 52 47 34 44 53.7 537

Other 4 4 4 4 2 1 3 2 3 3 27

Unknown 5 5 5 4 5 5 3 5 6 1 4.4 44

White 135 142 110 118 103 100 100 111 83 110 111.2 1,112

TOTAL Male: 564 508 477 436 419 386 352 375 302 318 413.7 4,137

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CSP Monthly Report DY5_No GraphsFrank Crowley

Last Refresh: 8/31/16 at 11:26:02 AM GMT-05:00

CrisisServicesProject

Age of Triage Encounters: 2015-10 2015-11 2015-12 2016-01 2016-02 2016-03 2016-04 2016-05 2016-06 2016-07 Average: Sum:

Adult 799 719 657 607 580 544 499 504 447 452 580.8 5,808

Minor 6 8 3 6 8 6 4 4 7 8 6 60

Uncollected 5 1 1 1 2 2 10

TOTAL Age of Triage Encounters: 810 728 661 613 589 552 503 508 454 460 587.8 5,878

Age of F2F Encounters: 2015-10 2015-11 2015-12 2016-01 2016-02 2016-03 2016-04 2016-05 2016-06 2016-07 Average: Sum:

Adult 249 210 224 211 183 188 178 203 161 173 198 1,980

Minor 3 6 1 1 4 2 2 1 5 1 2.6 26

TOTAL Age of F2F Encounters: 252 216 225 212 187 190 180 204 166 174 200.6 2,006

Gender Not Collected: 2016-03 2016-06 Average: Sum:

Unknown 1 1 1 2

TOTAL Gender Not Collected: 1 1 1 2

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Summary for 10/01/2015 to 07/31/2016Recidivism [10012015-09302016]Last Refresh: 8/31/16 at 11:12:33 AM GMT-05:00

Triage 12 5,914

Recidivism 12-12 1,472

Recidivism 12-12% 24.89%

Triage 6 3,972

Recidivism 6-6 651

Recidivism 6-6% 16.39%

Triage 6 3,972

Recidivism 6-12 1,290

Recidivism 6-12% 32.48%

81019

2.35%

81019

19

2.35%

810

2.35%

153972

4.68%

Triage 12-12

Recidivism 6-6

Recidivism 12-12%

Triage 6-12

Recidivism 6-6%

Recidivism 6-12Recidivism 6-12%

Recidivism 12-12

Triages 6-6

October DecemberNovember January March April May June July SeptemberFebruary August

153972

4.68%

153972

4.68%

17421.23%18.69%19.14%16.20%13.51%10.77%

1060837864643461304499244794513397034132822

7.91%

2201

21.37%849

3972

16.24%645

3972

16.20%643

3970

16.20%643

3970

13.51%461

3413

13.51%

3413

10.77%304

2822

10.77%304

2822

7.91%174

2201

7.91%174

2201461

25.48%20.80%101282639723972

16.36%16.26%650646

39723972

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Forensic Diversion Unit (FDU) ReportJul-16

Beginning Census 48Number of Referrals Received from CSP 9

Adapt 9Metrocare 0Transicare 0

Number of Admissions 7Number Discharged 11Number not admitted due to:

Client qualifies for ACT 0Client qualifies for other programs 0

Client didn't meet level of need required 0Other reasons 2

Average Service Utilization:Average hours seen 10.02

Encounter Breakdown: Face to Face 439 Service Coordination 137

Number of clients accessing:Emergency Room (medical) 0

23-hour observation (psych) 1Inpatient (med/ psych) 0

Jail book-in 3Reasons for Discharge:

Graduate 0Client Disengagement 3

Extended Jail stay (case-by-case basis) 2Other Intervening factors 6

End of Month Stats:Number of Active FDU clients end of month 44

Number of Unique Consumers 0

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# of clients waiting to be released from jail 8Average Length of stay on FDU (month) 23.25

Maximum Census 46

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AUGUST 2016 Monthly Report

Dallas County Crisis Services Program

Program Specific and Systems Update

Summary of VO’s Monthly Activities

Numeric Outcomes Reporting

1 Adapt Community Solutions (ACS) - Targets members released from jail using ACS to ensure continuity of care.

Conducted case consultations on approximately 18 cases this month and supported ACT linkage when requested

2 Transicare Post Acute Transitional Services (PATS) - Targets high utilizers released from jail with more intensive need to ensure continuity of care.

Available for case consults/clinical support for Transicare Post- Acute Transitional Services (PATS)-Clinical Rounds—11 consults/supports Updated Flags-add/discharges Monthly reconciliation Supported 7-day after-care appts. (10-ICR/9-jail discharges)

Flags in system - VO outcomes reports in progress.

3 After-care Extension IOP/SOP (SUD) - Provides extension of SUD supportive services when VO’s IOP/SOP benefits have been completed and exhausted

Review of clients for benefit exhaustion

On-going project-tracking (invoices submitted for June and July 2016)

Not Applicable

4

ACT FDU - Provides ACT for high utilizers of the legal system-Responsible for approving evaluations of FDU referrals. FDU-Oversight

Clinical Review of cases for appropriate LOC/recommendations on 10 FDU referrals Reviewed TX plans and no consult with MD during this review period

Not Applicable

5 CSP-Cottages Project Reviewed MH HX on 6 consumers to support appropriate H-risk referrals to program.

Not Applicable

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2015-09 2015-10 2015-11 2015-12 2015-1 2015-2 2015-3 2015-4 2015-5 2015-6 2015-7 1 Beginning Census 62 61 63 68 76 86 79 97 92 96 1052 REFERRALS 33 39 29 26 33 40 44 38 47 46 41

3 Admissions4 Referred Admitted 9 14 13 17 18 21 22 16 16 25 205 No Admit Client Refusal 1 2 0 0 2 3 3 0 4 3 36 No Admit Criteria 15 8 5 0 5 1 4 9 4 2 27 No Admit Structural 3 3 4 2 4 0 11 3 7 7 48 Pending 5 11 7 7 4 15 5 10 16 9 129 PRIOR PENDING

10 Pending Admitted 3 2 9 3 5 5 10 4 7 10 511 No Admit Client Refusal 1 0 3 0 0 1 4 1 1 2 312 No Admit Criteria 6 2 2 0 0 0 0 1 3 0 013 No Admit Structural 0 0 0 0 1 0 0 0 0 4 11415 Total Admissions 12 16 22 20 23 26 32 20 23 35 251617 Discharges18 Success Transfer 1 0 5 3 3 13 3 6 3 4 819 DC Midterm Disengage 4 6 6 2 7 6 2 7 8 11 1420 DC Rapid Disengage 1 1 2 3 0 0 1 4 1 0 221 DC Structural 7 7 4 4 3 14 8 8 7 11 422 Total Discharged 13 14 17 12 13 33 14 25 19 26 2823 Active End Of Month 61 63 68 76 86 79 97 92 96 105 1022425 Outcome Data26 Terrell State Hospital Linkages27 ≤7 Connect To Prescriber 4 3 2 4 5 3 4 1 2 5 628 ≤30 Connect To Prescriber 0 0 0 0 0 0 0 0 0 0 029 Missed Metric 0 0 0 1 1 1 1 0 0 1 530 Total Released 4 3 2 5 6 4 5 1 2 6 113132 Cummulative ≤7 Connect % 80.6% 100.0% 100.0% 90.0% 87.5% 85.0% 84.0% 84.6% 85.7% 85.3% 77.8%33 Cummulative ≤30 Connect % 87.1% 100.0% 100.0% 90.0% 87.5% 85.0% 84.0% 84.6% 85.7% 85.3% 77.8%34 Missed Metric 12.9% 0.0% 0.0% 10.0% 12.5% 15.0% 16.0% 16.0% 14.3% 14.7% 22.2%35 Unduplicated Served36 Monthly Unduplicated 91 90 82 86 99 102 114 108 113 132 12237 DSRIP YTD Unduplicated Served 349 89 114 166 201 227 273 300 343 365 4233839 Encounter Data40 F2F Encounter 407 388 335 411 467 595 360 571 567 778 73941 Care Coord 163 174 143 184 154 135 118 161 138 163 19542 Total 570 562 478 595 621 730 478 732 705 941 934

Transicare Reporting Crisis Services Project

Page 15 of 47

Page 16: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

Jan Feb March April May June July Aug Sept Oct Nov Dec TotalsActive

New Evals - Incompetent 46 64 64 45 67 38 39 43 406

Waiting for the hospital - End of month 72 86 89 93 78 74 74 59 0 0 0 0 Less than 30 days 22 45 37 41 37 26 21 12 30 to 60 days 31 15 31 27 14 14 10 6 Greater than 60 days 19 26 21 25 27 34 43 41

Returned to jail from the hospital 12 21 22 16 23 20 32 41 0 0 0 0 187 Felony 10 18 18 13 21 16 26 30Average length of stay (days) 359 119 101 125 114 58 243 121 Misdemeanor 2 3 4 3 2 4 6 11Average length of stay (days) 80 89 58 68 34 77 75 64

ClosedNew Evals - Competent 31 45 42 34 53 33 29 52 319

Admitted to the state hospital 24 30 26 38 58 38 32 41 0 0 0 0 287Maximum Secure Facility 3 9 5 7 8 3 9 8 Average wait (days) 52 140 168 181* 152 141 278 125Non-Maximum Secure Facility 11 14 10 13 32 23 23 33 Average wait (days) 80 62 61 70 48 29 184 101

Hospital Return Legal Case Resolved 7 8 17 14 10 10 12 23 0 0 0 0 101 Felony 7 7 14 9 9 8 9 16Average length of stay (days) 52 98 72 38 84 45 106 56 Misdemeanor 0 1 3 5 1 2 3 7Average length of stay (days) 0 6 8 7 14 4 194 15

Case dismissed at the hospital 5 5 5 6 9 6 9 1 0 0 0 0 10Felony 0 0 0 1 1 1 0 0Misdemeanor 5 5 5 5 8 5 9 1

Jail Competency Stats 2016

* Average wait for Maximum Secure Facility is calculated for males waiting. The wait for a female bed averages between 20 to 30 days

Page 16 of 47

Page 17: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

Pregnant Patients

August 2016

2016

Unique Individuals 60

Days In Jail 899

Probation Violation 22%

New Offense 63%

BF/IB/ATGOB 10% Other

5%

Reason in Jail

Jan Feb March April May June July August

2014 47 41 37 49 63 51 52 41

2015 41 47 50 52 59 52 36 45

2016 67 70 60 37 38 61 42 60

0

20

40

60

80

100

120

140

160

180

Nu

mb

er

of

Wo

me

n

Pregnant Women in Jail

Page 19 of 47

Page 18: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

Pregnant Patients

August 2016

JIMI Match Only 13%

MH Flag Only 35%

No MH Noted 22%

JIMI Match & MH Flag 30%

Mental Health Concerns

Theft & Fraud 17%

Drug/Alcohol Related

39%

Prostitution 3%

Assaultive 13%

Explicitly Involving Children

10%

Other 15%

Burglary & Robbery 3%

Offense Type

Page 20 of 47

Page 19: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

August 2013 August 2014 August 2015 August 2016

In Jail (atleast one day in month-not total at end of

the month) 32 41 45 60

Probation Violations 11 13 14 13

New offenses 21 24 29 38

BF/IB/ATGOB only 6

Parole Violations only - 1 - -

Other reason in jail - 3 2 3

Released Since Last Month 19 15 18 37

Released to SAFPF - - - -

Released to Nexus Recovery 5 1 2 4

Released to state hospital - - - -

Released to other treatment - 1 - 2

Released to TDCJ (ID or SJ) 4 2 1 2

Released on Probation - 2 4 7

Released on bond 3 5 3 9

Released to Other Agencies 3 2 1 3

Released for other Reasons 4 2 7 10

New Cases Since Last in Month 21 12 17 29

Emails To Court Coordinators for settings 5 1 1 1

Email Notifications to Probation 1 4 3 4

Email Notifications to TDCJ desk (Sgt. Temple) 1 5 3 2

Pregnant Patient Interviews for Referral Purposes 1 - - -

Nexus Notifications - - - -

Page 21 of 47

Page 20: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

Veteran's Report

August 2016

Asian/Pacific Islander Male (1)

1%

Asain/Pacific Islander Female (2)

1%

American Indian or Alaskan Native

Male (2) 1%

African-American Male (99)

52% Caucasian Male (75) 39%

African-American Female (6)

3% Caucasian Female

(5) 3%

Arrest by Race

DPD Dallas CoMunicipal

PDsDART

CityMarshal

HospitalPDs

Dept ofVeteran'sAffairs PD

Arrest By Agency 80 60 39 2 2 6 1

0

10

20

30

40

50

60

70

80

90

Nu

mb

er

of

Arr

est

s

Arrest By Agency

Page 22 of 47

Page 21: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

Veteran's Report

August 2016

Yes No VRSS-Yes VRSS-No

Suspected Mental Illness 47 19 83 41

0

10

20

30

40

50

60

70

80

90

Suspected Mental Illness

Self Report & VRSS MatchSelf Report & Not VRSS

MatchVRSS Match & Not Self

Report

# of Arrests 63 66 61

58

59

60

61

62

63

64

65

66

67

Reporting

Page 23 of 47

Page 22: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

Homeless Report

August 2016

2016

Unique Individuals 326

Days In Jail 14,660

Average Number of Days in Jail 43.76

0

50

100

150

200

DPD DART DSO DCH PoliceDept.

MH Yes 126 32 2 3 43

MH No 56 8 32 8 25

Arresting Agency

0

20

40

60

80

100

120

140

F1 F2 F3 FS MA MB

MH Yes 7 17 37 47 31 82

MH No 7 10 9 26 13 45

Degree of Offense

Page 24 of 47

Page 23: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

Homeless Report

August 2016

0

50

100

150

200

250

300

F1 F2 F3 FS MA MB

MH Yes 89 103 70 56 15 14

MH No 205 69 76 54 20 9

Avg. Days in Jail

0

20

40

60

80

100

120

140

Adhoc Wheel PD Decline Retd Unknown

MH Yes 21 81 87 9 4 21

MH No 17 32 49 4 2 8

Attorney Type

Page 25 of 47

Page 24: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

Homeless Report

August 2016

050

100150200250300

F1 F2 F3 FS MA MB

Others Y 89 88 81 49 12 12

Others N 205 73 76 57 14 8

PD Yes -MH 0 149 52 72 20 17

PD no-MH 0 27 50 22 9

Avg. Days in Jail Attorney Type

0

10

20

30

40

50

60

70

F1 F2 F3 FS MA MB

MH Yes 0 4 14 16 13 40

MH No 0 1 0 10 10 28

PD Degree of Offense

Page 26 of 47

Page 25: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

Month-Year Total inmates booked into the jail

with a NorthStar match

Book in Totals for the month

% of people with a NorthStar match

booked into the jail

2007 Total 6501 93413 7%2008 Total 8200 99580 8%2009 Total 10636 98407 11%2010 Total 12994 96245 14%2011 Total 15810 90429 17%2012 Total 17036 83524 20%2013 Total 17762 81010 22%2014 Total 16919 73168 23%

Jan-15 1433 5941 24%Feb-15 1228 5164 24%Mar-15 1546 5979 26%Apr-15 1587 6350 25%May-15 1505 5901 26%Jun-15 1440 5848 25%Jul-15 1537 6357 24%Aug-15 1480 6103 24%Sep-15 1360 5697 24%Oct-15 1391 5713 24%Nov-15 1194 5042 24%Dec-15 1297 5090 25%

2015 Total 16998 69185 25%Jan-16 1444 5839 25%Feb-16 1596 6086 26%Mar-16 1454 5788 25%Apr-16 1521 6036 25%May-16 1456 6029 24%Jun-16 1519 5914 26%Jul-16 1255 4898 26%Aug-16 1481 5884 25%

2016 Total 11726 46474 25%

Multi-Bookin NorthSTAR Tracking

Monthly NorthSTAR Intakes

Page 27 of 47

Page 26: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

MONTHBEGINNING # OF PENDING

CASES

+NEW CASES RECEIVED

THIS MONTH

=TOTAL CASES TBJ TBC PLEAS REV GRADUATES

PROBATION

MODIFICATIONS

DISMISSALS OTHERS

TOTAL DISPOSITIONS

ENDING # PENDING CASES **

CURRENT ATLAS PARTICIP

ANTS

CURRENT PARTICIPA

NTS IN CUSTODY

FORMER ATLAS

PARTICIPANTS

BOND

August 75 3 78 0 0 0 0 2 0 0 0 2 76 28 6 0 22

HARRY INGRAM

MONTH

BEGINNING # OF

PENDING CASES

Rediverts

+NEW CASES

RECEIVED THIS

MONTH

=TOTAL CASES TBJ TBC PLEAS DISMISSAL OTHER

TOTAL DISPOSITIONS

ENDING #

PENDING

CASES **

CURRENT

PARTICIPANTS

NUMBER OF

GRADUATES

BOND***

August 116 0 4 120 0 0 3 4 0 7 113 27 3 27

MONTHBEGINNING # OF PENDING

CASES

+NEW CASES RECEIVED

THIS MONTH

=TOTAL CASES TBJ TBC PLEAS REV GRADUATES

PROBATION

MODIFICATIONS

DISMISSALS OTHERS

TOTAL DISPOSITIONS

ENDING # PENDING CASES **

CURRENT ATLAS PARTICIP

ANTS

CURRENT PARTICIPA

NTS IN CUSTODY

FORMER ATLAS

PARTICIPANTS

BOND

August 46 2 48 0 0 0 0 0 0 0 0 0 48 26 0 0 26

FY2016 MHPD STATS

MONTH

BEGINNING # OF

PENDING CASES

+NEW CASES

RECEIVED THIS

MONTH

=TOTAL CASES TRIALS PLEAS COND.

DISM.REVO-

CATION DISMISSALS INCOMPETENT

REFERRALS

OTHER COUNSEL APPT.

TOTAL CLOSED

R. LENOX 183 26 209 1 21 3 2 4 0 0 4 35L. TAYLOR 230 16 246 0 7 1 0 6 0 0 8 22

MALCOM HARDEN

MONTH BEGINNING # OF CASES

NEW CASES THIS

MONTHTBJ TBC

Alt.Trial

Dispos.PLEAS

REVO-CATION

SDISMISSALS PROBATI

ONCOMP. HRG.

EXTENSIONS

CIVIL COMMI

T.

MHMR REFERR

AL

CONSULTS OTHER

ENDING # OF

PEOPLE IN OCR

August 171 9 0 0 0 1 1 1 0 7 14 0 0 0 2 17

MALCOM HARDEN

MONTH BEGINNING # OF CASES

NEW CASES THIS

MONTHTBJ TBC

Alt.Trial

Dispos.PLEAS

REVO-CATION

SDISMISSALS PROBATI

ONCOMP. HRG.

EXTENSIONS

CIVIL COMMI

T.

MHMR REFERR

AL

CONSULTS OTHER

ENDING # OF

PEOPLE IN OCR

August 137 31 0 0 0 3 0 25 0 13 1 0 0 0 0 22

MONTHTOTAL NEW

CASES RECEIVED

NEW CLIENTS AT

GREEN OAKS

NEW CLIENTS

AT MEDICAL CENTER

MCKINNEY

NEW CLIENTS

AT PARKLAN

D

NEW CLIENT

S AT DALLAS BEHAVIORAL

HEALTH

NEW CLIENTS AT GARLAND

BEHAVIORA

L

NEW CLIENTS AT ZALE LIPSHY

NEW CLIENTS AT

SUNDANCE BEHAVIORAL HEALTHCARE

NEW CLIENTS

AT HICKORY TRAILS

NEW CLIENTS

AT OCEANS BEHAVIORAL

HOSPITAL

PROBABLE

CAUSE HEARIN

GS HELD

NO CONTE

ST COMMI

T

CONTESTED

COMMIT

FORCED MEDS

HEARING IN

COURT

L. ROBERTS 326 274 19 20 8 0 0 4 1 0 4 0 14 14L. TAYLOR 26 0 0 8 5 0 13 0 0 0 1 0 2 1

MONTH NEW CLIENTS

PROBABLE CAUSE

HEARINGS HELD

NO CONTEST

COMMIT TO TSH

CONTESTED COMMIT

TO TSH

RECOMMITMENTS OUTPATIENT JURY

TRIAL

August 68 3 2 11 2 0 0

HARRY INGRAM FY2016 S.E.T. STATISTICS 291st

HARRY INGRAM FY2016 ATLAS STATISTICS 203/HAWTHORNE

FY2016 MISDEMEANOR MENTAL HEALTH COURT STATS CCCAP1/WADE

August

FY2016 FELONY COMPETENCY STATISTICS

FY2016 MISDEMEANOR COMPETENCY STATISTICS

August MI Court

RANDA BLACK MI COURT*Number of new cases

decreased due to increase in 46B cases.

MEDICATION HEARINGS

14Page 28 of 47

Page 27: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

20__ Term Jury Leads*

Jury Picks

Non-Jury Trials Pleas DismiCD-Priv. CD-P.D.

CD check-in

OCR check-in Ref. SET SET NGRI-IP NGRI-OP Comp Hear Traffic T

Total Dispos

January 0 0 0 3 2 0 0 12 0 11 0 0 0 0 0 5 App'd Unapp'dFebruary 0 0 0 3 1 0 0 11 0 3 0 0 0 0 0March 0 0 0 8 3 0 0 14 0 5 0 0 0 0 0

January Term Total 0 0 0 14 6 0 0 14 0 19 0 0 0 0 0 0 109 12April 3 0 0 9 3 0 0 16 0 0 0 0 0 0 0May 0 0 0 5 0 0 0 15 0 0 0 0 0 0 0June 0 0 0 6 1 0 0 16 0 0 0 0 0 0 0

April Term Total 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 99 0July 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0August 0 0 0 4 3 2 54 56 0 8 21 0 0 0 0September 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

July Term Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0October 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0November 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0December 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0October Term Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Y-T-D Total 3 0 0 34 7 0 0 16 0 19 0 0 0 0 0 0

Verdict Trial Date

G 4.11.16

G 4.11.16

G 4.11.16

Personal Stats - Felony Cases Only

Hire DateProsecutor Court

List Pending Cases Assigned to you

Cresta Garland 5/1/2006 MENTAL HEALTH

Defendant

Luis Angel Rodriguez

Please Note: *Do Not Include Picks In Total Dispositions - Do Not Include Sanity Trials in Leads

List 2016 Jury Trials Offense

Luis Angel Rodriguez

Luis Angel Rodriguez Intox Assault, F1600

Sentence

13 TDC

5 years probation

5 years probation

Intox Assault, F1600

Intox Manslaughter,

Page 29 of 47

Page 28: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

2016 Term Jury Trial Leads*

Jury Picks

Non-Jury Trials Pleas Dismissals Compe- Conditional OCR

Class C Traffic Dispos

A&B Dispositions

January App'd Unapp'dFebruary 118March 1 92 1

January Term Total 0 0 0 0 0 0 0 0 210 1April 91May 6 7 3 55 6June 91

April Term Total 0 0 0 0 0 0 0 0 237 0July 85August 81September

July Term Total 0 0 0 0 0 0 0 0 0 0OctoberNovemberDecember

October Term Total 0 0 0 0 0 0 0 0 0 0

Y-T-D Total 0 0 0 1 0 0 0 0 532 7

Verdict Trial Date

Personal Stats - Misdemeanor Cases Only

Hire DateProsecutor Court

List Pending Cases Assigned to you

McKimmey, Kendall 2/11/2013 MENTAL HEALTH

Please Note: *Do Not Include Picks In Total Dispositions - Do Not Include Sanity Trials in Leads

List 2014 Jury Trials Defendant Offense Sentence

Page 30 of 47

Page 29: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

2015 Term Jury Leads*

Jury Picks

Non-Jury Trials Pleas DismiCD-Priv. CD-P.D.

CD check-in

OCR check-in Ref. SET SET Acpt

NGRI-IP Hear

OP check-in Comp Hear

Total Dispos

January 1 3 12 27 3 2 51 1 App'd Unapp'dFebruary 1 2 3 10 39 4 2 70 3March 3 1 9 38 1 1 3 2 55 3

January Term Total 1 6 7 31 104 1 1 10 6 176 7April 8 1 7 31 5 7 82 8May 6 0 2 33 1 4 63 6June 2 0 1 3 37 1 8 48 2

April Term Total 16 1 1 12 101 7 19 193 16July 1 1 3 32 2 6 41 2August 3 3 1 4 28 2 6 61 3September

July Term TotalOctoberNovemberDecember

October Term Total

Y-T-D Total 0 0 1 1 23 8 1 46 237 1 1 19 31 410 25

Verdict Trial Date SentDefendant

402

421

406

Please Note: *Do Not Include Picks In Total Dispositions - Do Not Include Sanity Trials in Leads

List 2014 Jury Trials Offense

Personal Stats - Felony Cases Only

Hire DateProsecutor Co

List Pending Cases Assigned to you

Kendall McKimmey 2/11/2013 MENTAL

Page 32 of 47

Page 30: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

2016 Term Jury Leads*

Jury Picks

Non-Jury Trials Pleas DismiCD-Priv. CD-P.D.

CD check-in

OCR check-in Ref. SET SET SET pNGRI-IP NGRI-OP Comp Hear Traffic T

Total Dispos

January 7 4 1 3 6 2 11 App'dFebruary 9 6 2 2 4 1 2 1 15March 6 3 0 3 3 2 9

January Term Total 22 13 35April 9 5 3 2 2 14May 15 6 2 1 4 1 1 21June 13 5 2 3 8 1 18

April Term Total 53July 9 4 3 2 6 1 13August 17 5 1 1 1 22September

July Term TotalOctoberNovemberDecember

October Term Total

Y-T-D Total

Verdict Trial Date SentDefendant

Please Note: *Do Not Include Picks In Total Dispositions - Do Not Include Sanity Trials in Leads

List 2014 Jury Trials Offense

Personal Stats - Felony Cases Only

Hire DateProsecutor Co

List Pend Assigne

Lee Pierson 7/11/2011 MENTAL

Page 36 of 47

Page 31: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

Page 38 of 47

Page 32: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

The Bridge 2015 2015 2015 2015 2015 2016 2016 2016 2016 2016 2016 2016 2016August Sep. Oct. Nov. Dec Jan Feb. Mar. Apr. May June July August AVG.

Bridge Emergency Shelter 311 314 307 298 286 316 309 329 292 306 334 366 368 318.153846Bridge Transitional Shelter 111 114 119 114 104 113 118 116 114 113 113 117 117 114.076923Direct Referrals to Other Shelters 713 709 531 534 529 671 541 520 527 537 698 659 683 604Care Management 905 1221 1177 1135 1034 1137 1035 1044 1052 1114 1203 1185 1214 1112Job Ready (Workforce) 99 118 125 118 122 92 59 63 58 70 62 61 76 86.3846154Job Placements (Workforce) 23 34 30 27 25 18 23 19 42 39 42 42 45 31.4615385Housing Placements 30 26 28 32 26 45 39 32 47 36 35 45 45 35.8461538Metrocare Mental Health Serv. 400 393 425 395 389 400 340 387 348 349 354 378 377 379.615385Metrocare Chemical Dep. Serv. 99 78 73 65 71 59 22 43 37 34 19 29 29 50.6153846Parkland Clinic* 821 705 829 720 721 727 805 795 760 852 915 782 750 783.230769VA Services 26 18 20 7 11 20 11 23 14 7 18 10 13 15.2307692Judicial Re-Entry 5 3 6 4 10 4 3 4 5 2 1 2 5 4.15384615Jail Release (General) 34 22 22 15 19 28 18 16 16 20 12 13 21 19.6923077Triage Assessments* 581 556 475 465 448 497 430 416 424 443 579 535 589 495.230769

Each category represents unduplicated guests , not totals served.*exception - Parkland Clinic and Triage Assessment numbers are for totals served.

Page 39 of 47

Page 33: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

NAME OF MHMR PROGRAM: Metrocare Services

PROGRAM: SNOP

MONTH OF REPORT: August 2016

ATLAS

Post-

DDRTC STAC Misd. PRIDE DDRTC

PROBATION

ICM

PAROLE

ICM

1. Number of Offenders served at the beginning of

the month: 13 38 17 30 254

65 91

2. Number of Referrals received: 16 0 11

3. Number of Assessments: 21 0 11

4. Number of Admissions: 2 7 9 1 0 21 0 11

5. Average length of stay by months: 2.57 2.07 3.12 1.52 4.13 6.42 4.72

5. a. Average hours served: 7.83 4.36 4.25 6.33 17.21 3.47 20.18

6. Services Utilized: 0 0 0 0 0 12 2 0

6. a. Visits to ER (medical) 0 0 0 0 0 4 0 0

6. b. 23-hour Observation (psych) 0 0 0 0 0 6 0 0

6. c. Inpatient Stay (med/psych) 0 0 0 0 0 2 2 0

6. d. Jail days less than 30 days: 0

7. Number of Discharges: 5 2 6 6 0 18 5 4

7. a. Terminations (jail more than 30days) 0 0 0 0 0 0 0 0

7. b. Warrants/Suspension: (medical d.c.; abscond) 0 0 0 0 0 7 0 0

7 c. Graduates 0 0 0 0 0 11 2 2

8. Number of Offenders served at the end of month: 0 0 0 0 0 57 60 98

9. Total served in the month: 0 0 0 0 0 75 60 98

10. Number of Offenders on the waiting list: 0 0 0 0 0 16 0 0

11. Minimum/Maximum Census per FTE allocation 20-25 30-38 30-38 30-38 10-12 60 100-125 100-125

12. % of FTE Assigned 1 1.5 1.5 1.5 0.5 5 5

13. Vacancy(s) 0 0 0 0 0 0 0 1

Each FTE covers 20-25

Page 40 of 47

Page 34: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

Jan Feb Mar April May June July Aug Sept Oct Nov Dec Total2015 Total

Beginning of Month 42 44 43 44 46 45 48 44 45 0 0 0

Misdemeanor 22 22 20 23 21 18 20 17

Placed in OCR 6 5 10 3 3 8 2 6 43 70Homeless @ admit 2 2 5 2 0 6 0 4 21 41

Dispo 6 7 7 5 6 6 5 4 0 0 0 0 46 61Outpatient to Inpatient 2 0 0 3 1 2 0 2 10 9Abscond 2 1 2 1 0 1 1 0 8 14Restored and Resolved 1 5 5 0 4 3 4 2 24 29Not restored -- Dismissed 1 1 0 1 1 0 0 0 4 9

Felony 20 22 23 21 25 27 28 27

Placed in OCR 4 5 2 7 8 6 1 4 37 38Homeless @ admit 2 2 2 4 5 3 0 4 22 14

Dispo 2 4 4 3 6 5 2 5 0 0 0 0 31 33Outpatient to Inpatient 0 0 3 2 3 2 2 4 16 7Abscond 2 1 0 0 0 2 0 1 6 3Restored and Resolved 0 2 1 1 1 1 0 0 6 22Not restored -- Dismissed 0 1 0 0 2 0 0 0 3 1

End of Month 44 43 44 46 45 48 44 45 0 0 0 0 359

Outpatient Competency Restoration Monthly Totals

Page 41 of 47

Page 35: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

FY16Start of Month

New admissions

DAOpt-out

Unsuccessful discharge

Graduates

End of Month

Sept. 15 163 7 0 2 19 149Oct. 15 149 16 0 4 4 157Nov. 15 157 11 0 3 0 165Dec. 15 165 5 1 2 12 155Jan. 16 155 10 1 8 12 144Feb. 16 144 21 0 0 10 153Mar. 16 153 13 0 2 9 155Apr. 16 155 14 0 3 6 160May. 16 160 9 2 5 3 159Jun. 16 159 2 1 2 5 153Jul. 16 153 14 1 4 11 151Aug. 16 151 8 0 2 6 151

total 130 6 37 97

Page 42 of 47

Page 36: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

FY15*Start of Month

New admissions

DA Opt-out

Unsuccessful discharge

GraduatesEnd of Month

Total 29 22 9

Ave. Per Month 2.41666667 1.83333333 0.75

FY16Start of Month

New admissions

DA Opt-out

Unsuccessful discharge

GraduatesEnd of Month

Sept. 15 22 5 0 2 0 25Oct. 15 25 5 0 2 6 22Nov. 15 22 2 0 0 0 24Dec. 15 24 4 0 0 0 28Jan. 16 28 5 0 3 0 30Feb. 16 30 4 0 0 3 31Mar. 16 31 3 0 6 0 28Apr. 16 28 2 0 1 0 29May-16 29 2 0 4 1 26Jun. 16 26 2 0 2 0 26Jul. 16 26 3 0 2 0 27Aug. 16 27 3 0 0 2 28

* Denotes that numbers are slighlty lower due to missing data.

Page 43 of 47

Page 37: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

FY15*Start of Month

New admissions

DA Opt-out

Unsuccessful discharge

GraduatesEnd of Month

Total 44 16 20

Ave. Per Month 3.66666667 1.33333333 1.666666667

FY16Start of Month

New admissions

DA Opt-out

Unsuccessful discharge

GraduatesEnd of Month

Sept. 15 31 11 0 3 0 39Oct. 15 39 5 0 5 0 39Nov. 15 39 5 0 1 9 34Dec. 15 34 1 0 3 0 32Jan. 16 32 7 0 0 0 39Feb. 16 39 8 0 1 13 33Mar. 16 33 10 0 2 0 41Apr. 16 41 1 0 2 0 40May-16 40 6 0 4 5 37Jun. 16 37 3 0 0 0 40Jul. 16 40 4 0 2 0 42Aug. 16 42 9 0 2 6 43

* Denotes that numbers are slighlty lower due to missing data.

Page 44 of 47

Page 38: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

FY15Start of Month

New admissions

DA Opt-out

Unsuccessful discharge

GraduatesEnd of Month

Total 81 43 64

Ave. Per Month 6.75 3.58333333 5.333333333

FY16Start of Month

New admissions

DA Opt-out

Unsuccessful discharge

GraduatesEnd of Month

Sept. 15 52 9 0 3 3 55Oct. 15 55 10 0 1 2 62Nov. 15 62 7 0 3 1 65Dec. 15 65 4 0 3 3 63Jan. 16 63 5 0 6 0 62Feb. 16 62 9 0 3 8 60Mar. 16 60 8 0 6 4 58Apr. 16 58 6 0 1 4 59May-16 59 9 0 2 0 66Jun. 16 66 12 0 1 5 72Jul. 16 72 6 0 8 4 66Aug. 16 66 2 0 2 3 63

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Page 39: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

FY16Start of Month

New Admissions

Unsuccessful discharges Graduates

End of Month

Sep. 15 208 15 13 8 202Oct. 15 202 20 1 0 221Nov. 15 221 19 5 19 216Dec. 15 216 19 0 0 235Jan. 16 235 19 0 0 254Feb. 16 254 16 3 30 237Mar. 16 237 14 0 7 244Apr. 16 244 2 4 0 242May. 16 242 10 5 35 212Jun. 16 212 11 8 0 132Jul. 16 132 18 8 4 138Aug. 16 138 22 2 0 141

FY16 MH CurrentMH admissions

MH discharges GraduatesEnd of Month

Sep. 15 24Oct. 15 24Nov. 15 23Dec. 15 22Jan. 16 27Feb. 16 22Mar. 16 26Apr. 16 29May. 16 22Jun. 16 22 5 2 0 25Jul. 16 25 4 2 0 27Aug. 16 27 9 2 0 34

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Page 40: Behavioral Health Steering Committee Thursday, September ... · Behavioral Health Steering Committee Thursday, September 15, 2016 Agenda 1. Welcome and Call to Order 2. Review/Approval

* FY15Start of Month

New admissions

DA Opt-out

Unsuccessful discharge

GraduatesEnd of Month

Total 12 8 9

Ave. Per Month 1 0.66666667 0.75

FY16Start of Month

New admissions

DA Opt-out

Unsuccessful discharge

GraduatesEnd of Month

Sept. 15 18 2 0 3 3 14Oct. 15 14 0 0 2 0 12Nov. 15 12 1 0 0 0 13Dec. 15 13 3 0 1 0 15Jan. 16 15 5 0 1 4 15Feb. 16 15 2 0 3 0 14Mar. 16 14 2 0 1 0 15Apr. 16 15 0 0 0 0 15May-16 15 0 0 1 0 15Jun. 16 15 0 0 2 0 13Jul. 16 13 1 0 1 1 12Aug. 16 12 2 0 0 0 14

* Denotes slightly lower numbers due to incomplete data.

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